Floyd, Angela
Floyd, Angela is an sole proprietor health care provider with primary practice located at 499 Gloster Creek Vlg Ste D1 , Tupelo MS 38801-4753. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Floyd, Angela can be contacted via phone (662) 690-8007.Contact Information
Primary practice address
499 Gloster Creek Vlg Ste D1
Tupelo MS 38801-4753
Phone: (662) 690-8007
Fax: (662) 842-4653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C6144 | Mississippi |
Profile Details
| NPI number | 1598026353 |
|---|---|
| LBN Legal business name | Floyd, Angela |
| Credentials | LCSW, CHT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2012 |
| Last updated | Jun 28th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598026353 | NPPES |
| Mississippi | MEDICAID | 05174088 |
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